Sydnie Rene Leroy, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86090516 Issued in NC

Practice address

612 College St
Jacksonville, NC 28540

Phone

(910) 989-3941

NPI assigned

Sep 28, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1851794465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119B JAMES AVE",
            "city": "SURF CITY",
            "state": "NC",
            "postal_code": "284457051",
            "telephone_number": "845-551-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 COLLEGE ST",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28540",
            "telephone_number": "910-989-3941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Route 32",
            "address_purpose": "LOCATION",
            "city": "Central Valley",
            "state": "NY",
            "postal_code": "109173613",
            "country_code": "US",
            "telephone_number": "845-827-6227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEROY",
        "first_name": "SYDNIE",
        "middle_name": "RENE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-28",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "86090516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Doerfler Leggett, P.T.
• Robert Michael Lenn, RN
• Sean Patrick Leonard, M.D.
• Khye Sheng Andrei Leong, M.D.
• Karolie S Lerow, CCC-SLP
• Jon Douglas Lesan, DDS RPH PA
• Aaron John Leshikar, DPM
• Erin Lesko, LPA
• Richard K Leung, M.D.,F.A.C.C.
• Kristen Michelle Leverentz, PHD

• Registered Dietitian in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.